Prognostic factors of restrictive myopathy in thyroid eye disease
Abstract To investigate the prognostic factors of extraocular muscle restriction in patients with thyroid eye disease (TED), 65 patients with TED and restrictive myopathy were evaluated. Demographics, clinical activity score (CAS), smoking status, thyroid disease status, thyroid hormone status, thyr...
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2021
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oai:doaj.org-article:a4368f63ac6b4d7a8daf9c326cf9b5cb2021-12-02T16:10:24ZPrognostic factors of restrictive myopathy in thyroid eye disease10.1038/s41598-021-93275-92045-2322https://doaj.org/article/a4368f63ac6b4d7a8daf9c326cf9b5cb2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93275-9https://doaj.org/toc/2045-2322Abstract To investigate the prognostic factors of extraocular muscle restriction in patients with thyroid eye disease (TED), 65 patients with TED and restrictive myopathy were evaluated. Demographics, clinical activity score (CAS), smoking status, thyroid disease status, thyroid hormone status, thyroid autoantibody status, orbital computed tomography (CT) scan at initial presentation, and treatment regimens were assessed. The movements of the most severely affected extraocular muscles were categorized into five grades. The patients were divided into the improved and the not-improved group based on the improvement in the limitation of the extraocular muscle excursion (LOM) throughout the follow-up, and the groups were compared using clinical factors. The mean LOM significantly improved from 2.3 ± 1.1 to 1.7 ± 1.2 after 1 year of follow-up. The excursion of the most restricted muscle improved in 32 patients but not in 33 patients during the follow-up. The initial concentration of the thyroid-stimulating antibody (TSAb) was significantly lower in the improved (229.3 ± 114.1) than in the not-improved group (345.0 ± 178.6) (P = 0.02) Age, sex, smoking status, CAS, thyroid status, and muscle thickness on the CT scan did not significantly differ in the groups. This study showed that the initial concentration of TSAb is a factor affecting the recovery of restrictive myopathy.Jae Hwan ChoiHoon NohYoon-Duck KimKyung In WooNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021) |
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Medicine R Science Q Jae Hwan Choi Hoon Noh Yoon-Duck Kim Kyung In Woo Prognostic factors of restrictive myopathy in thyroid eye disease |
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Abstract To investigate the prognostic factors of extraocular muscle restriction in patients with thyroid eye disease (TED), 65 patients with TED and restrictive myopathy were evaluated. Demographics, clinical activity score (CAS), smoking status, thyroid disease status, thyroid hormone status, thyroid autoantibody status, orbital computed tomography (CT) scan at initial presentation, and treatment regimens were assessed. The movements of the most severely affected extraocular muscles were categorized into five grades. The patients were divided into the improved and the not-improved group based on the improvement in the limitation of the extraocular muscle excursion (LOM) throughout the follow-up, and the groups were compared using clinical factors. The mean LOM significantly improved from 2.3 ± 1.1 to 1.7 ± 1.2 after 1 year of follow-up. The excursion of the most restricted muscle improved in 32 patients but not in 33 patients during the follow-up. The initial concentration of the thyroid-stimulating antibody (TSAb) was significantly lower in the improved (229.3 ± 114.1) than in the not-improved group (345.0 ± 178.6) (P = 0.02) Age, sex, smoking status, CAS, thyroid status, and muscle thickness on the CT scan did not significantly differ in the groups. This study showed that the initial concentration of TSAb is a factor affecting the recovery of restrictive myopathy. |
format |
article |
author |
Jae Hwan Choi Hoon Noh Yoon-Duck Kim Kyung In Woo |
author_facet |
Jae Hwan Choi Hoon Noh Yoon-Duck Kim Kyung In Woo |
author_sort |
Jae Hwan Choi |
title |
Prognostic factors of restrictive myopathy in thyroid eye disease |
title_short |
Prognostic factors of restrictive myopathy in thyroid eye disease |
title_full |
Prognostic factors of restrictive myopathy in thyroid eye disease |
title_fullStr |
Prognostic factors of restrictive myopathy in thyroid eye disease |
title_full_unstemmed |
Prognostic factors of restrictive myopathy in thyroid eye disease |
title_sort |
prognostic factors of restrictive myopathy in thyroid eye disease |
publisher |
Nature Portfolio |
publishDate |
2021 |
url |
https://doaj.org/article/a4368f63ac6b4d7a8daf9c326cf9b5cb |
work_keys_str_mv |
AT jaehwanchoi prognosticfactorsofrestrictivemyopathyinthyroideyedisease AT hoonnoh prognosticfactorsofrestrictivemyopathyinthyroideyedisease AT yoonduckkim prognosticfactorsofrestrictivemyopathyinthyroideyedisease AT kyunginwoo prognosticfactorsofrestrictivemyopathyinthyroideyedisease |
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1718384429393510400 |